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Systemic steroids in the treatment of psoriasis: what is fact, what is fiction

Systemic steroids in the treatment of psoriasis: what is fact, what is fiction 1

Treatment depends on cause but typically includes topical or systemic corticosteroids and pupil-dilating drugs that relieve pain caused by spasms of the pupil-constriction muscle. Apples and Doctors: Fact or Fiction? Eczema and psoriasis are commonly confused with tinea. Treatment with topical steroids often causes confusion, making tinea less scaly and more erythematous. Mental health and fictional characters: study reveals how these can affect us in real life. The fact remains that without a source of androgens, the sebaceous glands will remain small. Treatment today by the medical profession still includes systemic therapies that involve oral antibiotics; hormonal therapy, such as birth control pills (Accutane); and in some instances, nutritional modalities with vitamins. Medical topicals used for psoriasis are corticosteroids, tars and anthralin, in addition to a few miscellaneous agents of limited usefulness such as salicylic acid and phenol.

Systemic steroids in the treatment of psoriasis: what is fact, what is fiction 2In addition, other studies have found no evidence of systemic toxicity, even in patients with renal disease. Long-term use of topical corticosteroids may destabilize psoriasis and, on their withdrawal, result in a rebound effect; it is recommended by the manufacturer that corticosteroids be discontinued for 1 week before initiating treatment with anthralin. Dithranol allergy: fact or fiction? Contact Dermatitis 1992 Nov; 27(5): 291-3. The treatment of psoriasis raises some special issues. But more widespread disease – say a child who has more than 20 percent of the body surface area involved – may require something like ultraviolet light therapy, or a child with joint disease may require systemic agents. They range from topical steroids, topical vitamin D or vitamin A analogs, topical calcineurin inhibitors (tacrolimus and pimecrolimus), which have been used primarily for atopic dermatitis but which have some clinical effect on psoriasis, and even older compounds like tar compounds can be used in the younger kids who can tolerate it. And I think again it speaks to the fact that you have to find the right type of treatment for each individual child, and that may change as the child gets older. When treating patients with psoriasis, management decisions may be significantly influenced not only by type of psoriasis but also by the presence of any comorbidities — such as autoimmune conditions or cardiovascular disease — and the impact of psoriasis on the patient’s quality of life. Systemic agents including photochemotherapy, oral and newer, injectable biological agents have revolutionised the management of moderate to severe psoriasis. Milder topical corticosteroids are used for flexural and genital areas.

High-potency topical corticosteroids alone or in combination with calcipotriol (recommended with enthusiasm ). Not recommended: systemic and biological treatments. How many of these 15 facts about pediatric psoriasis do you know? Idiopathic autoimmune uveitis usually is treated by oral corticosteroids. Natural killer cell dysfunction is a distinguishing feature of systemic onset juvenile rheumatoid arthritis and macrophage activation syndrome. Circulating natural killer cells in psoriasis. Oral Echinacea purpurea extract in low-grade, steroid-dependent, autoimmune idiopathic uveitis: a pilot study. J Ocul Pharmacol Ther, 2006;22(6):431-436.

Anthralin Drug Information, Professional

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